Individual
LIANA MEGERYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4131 RICHMOND AVE, STATEN ISLAND, NY 10312-5633
(718) 351-0308
Mailing address
655 TYSENS LN APT 3W, STATEN ISLAND, NY 10306-4621
(347) 443-6237
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010440
NY
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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